Dressing and an epidermal positioning mechanism and method for using same

ABSTRACT

A dressing and an epidermal lifting mechanism for use with an application to a predetermined epidermal surface and methods of using same. The epidermal lifting mechanism comprises a strip of material having a first end portion of a predetermined shape, a second end portion of a predetermined shape, and middle portion coupling the first end portion to the second end portion. The first end portion and the second end portion each include a side including an adhesive layer. An overlaying, non-adhesive barrier layer may be located between a portion of the adhesive layer and an end portion.

RELATED APPLICATION

[0001] This application claims the benefit of prior U.S. applicationSer. No. 09/616,426 filed Jul. 14, 2000, which claims the benefit ofU.S. application Ser. No. 09/180,572 filed Jan. 11, 2000, which claimsthe benefit of PCT Application Serial No. PCT/US97/00868 filed Jan. 17,1997, which claims the benefit of Provisional Application Serial No.60/017,258 filed May 10, 1996.

BACKGROUND OF THE INVENTION

[0002] The present invention relates generally to devices that may beused in the healing arts and arts generally related thereto. Morespecifically, the present invention relates to devices which may be usedfor a variety of purposes including but not limited to dressings forwounds, bandages, drug delivery systems, epidermal lifting mechanisms,and positioning mechanisms for positioning epidermal layers of skin onhumans and/or animals in a predetermined manner. The present inventionis thus believed to have application in the medical and veterinarysciences.

[0003] Several forms of the present invention relate to epidermallifting mechanisms and methods for increasing the flow of gases into thehuman body and more specifically to an epidermal lifting mechanism andmethod for allowing more oxygen to pass through the nasal cavity thusincreasing both the flow of oxygen into the lungs and the flow of airexhaled from the lungs. Consequently, embodiments of the presentinvention are also related to a group of devices which are sometimescalled nasal dilators. The present invention provides a comfortable andeffective device for allowing increased gas flow rates through the nasalpassages and into the lungs.

[0004] Additionally, the present invention is an improvement in thefield of bandages and suturing aids in that a person may use the presentinvention to hold the ends of a wound together or apart for the purposesof suturing or cleaning the wound and/or incision. Further, the deviceof the present invention may be used to apply medicine or anti-bacterialagents to a wound or incision. Also, some embodiments of the presentinvention may be used to isolate a wound or burn in a sterileenvironment while allowing access to the wound area for purposes such asirrigating the wound. Further, some embodiments of the present inventionmay be used to stabilize the wound or burn area so that the skin aroundthe wound or burn does not stretch with the movement of an individualand thus prevents further damage to the wound during the healing processand allows for more effective healing of the wound or burn.

SUMMARY OF THE INVENTION

[0005] The present invention has many applications. The presentinvention may be generally described as a structure for aiding in thefollowing activities: as an epidermal lifting mechanism for providing alifting force to a predetermined area of the epidermis, such as the arealocated to either side of the bridge of a person's nose to provide anincreased flow rate of gas through (inhaled and exhaled) the nasalpassage, e.g., a nasal dilator; a structure for aiding in keeping anincision open; a structure for aiding in keeping a wound open forcleansing; a structure for aiding in keeping the ends or edges of anincision or wound in close, neat, even, alignment by the application ofan even pressure across the wound, burn, or incision, so that the arearequiring treatment may heal, or be sutured and closed, neatly and thusdevelop minimal scar tissue; or as an epidermal positioning mechanism asa device for applying medicine to a wound or other desired place on theepidermis of a human or animal.

[0006] With respect to the invention's applications as a dressing theinvention may be generally described as comprising: a first section, asecond section, and a third section. Of these three sections, the firstsection is coupled to the second section and the second section iscoupled to the third section. The second section comprising an elasticmaterial with the first section and the third section each having afirst side; and a predetermined portion of the first side including anadhesive located thereon. The second section of the invention mayinclude a plurality of openings of a predetermined size andpredetermined shape.

[0007] It should be noted that the predetermined shape or shapes of theopenings may be spatially organized in a predetermined manner respectiveto each other. This is because in one embodiment of the presentinvention the second section is located between the first and thirdsections and is preferably composed of an elastic material. By placingopenings in the elastic material at predetermined locations the strengthof the elastic material, when the elastic material is stretched, may bevaried and the distribution of force across the elastic material may byvaried. Also, the openings can be used to provide a visual reference toa user of the amount of stress being placed upon the second section andwhether or not that section has been stretched sufficiently or beenstretched too much since the shape of the openings will change inresponse to the degree to which the elastic material is stretched. Sucha visual reference would be useful to medical personnel where, e.g., itis desirable for a predetermined amount of pressure to be applied to awound.

[0008] Further, the second section includes a first margin (if thesecond section is round then there is structurally just one annularmargin near at least a portion of the perimeter of the second section)and a second margin. The first section may be integral or coupled to thesecond section at the first margin; and the third section may beintegral or coupled to the second section at the second margin.

[0009] Preferably, but not necessarily, the first section and the thirdsection are laminated materials comprising a first layer, a secondintermediate layer, and a third layer; with the third layer includingthe first side coated with adhesive and protected prior to use by asilicone release liner. The second section includes a first margin and asecond margin. The first section includes a first channel locatedbetween the first layer and the third layer of the first section forreceiving the first margin. The second section includes a second channellocated between the first layer and the third layer of the secondsection for receiving the second margin. The second intermediate layercomprising an adhesive material. The first margin and the second marginof the second section respectively including at least one opening andthe first margin engaging the second intermediate layer in the firstchannel and the adhesive material extending through the opening of thefirst margin; and the second margin engaging the second intermediatelayer in the second channel and the adhesive material extending throughthe opening of the second margin.

[0010] The first and third layer of the first section and the first andthird layer of the third section preferably being an inelastic materialin some embodiments. The inelastic material may be of any suitablematerial such as a TYVEC brand type of material.

[0011] Alternatively, the dressing mechanism may be described ascomprising: a first section, a second section, and a third section suchthat the first section is coupled to the second section and the secondsection is coupled to the third section. The first section and the thirdsection comprising an elastic material and the first section and thethird section each having a first side; and a predetermined portion ofthe first side including an adhesive located thereon.

[0012] Further, the second section includes at least one opening of apredetermined size and the first section and the third section eachinclude at least one opening comprising a predetermined shape. Aspreviously noted the openings of predetermined shape are spatiallyorganized in a predetermined manner respective to each other.

[0013] Also, the second section may include at least one margin and thefirst section and the third section each have a respective margin area.The first section margin is coupled to the second section at a firstpredetermined portion the margin of the second section. The thirdsection margin being coupled to the second section at a secondpredetermined portion of the margin of the second section.

[0014] Preferably, the second section is a laminated material comprisingat least a first layer, a second intermediate layer, and a third layer;the third layer including the first side. The first section and thethird section including a first section margin and a third sectionmargin. Both the first section margin and the third section margin beingcomposed of an elastic material. The second section including at leastone channel located between the first layer and the third layer of thesecond section at the second section margin for receiving the margins ofthe first and third sections. The second intermediate layer comprisingan adhesive material. The first section margin and the third sectionmargin respectively including at least one opening and the margins ofthe first and third sections engaging the second intermediate layer inthe channel at the respective first predetermined margin area and secondpredetermined margin area so that the adhesive material extends throughthe openings formed in the material which makes up the first and thirdsection margins. The first and third layer of the second section may, inthis embodiment, comprises an inelastic material. The inelastic materialmay be a polyester.

[0015] Further, the second section includes at least one opening or atleast one generally transparent section to either allow the wound orburn to be exposed to the air to be observed visually. Additionally, thesecond section could be modified to include a mechanism for irrigatingthe wound or burn under the bandage so that the wound or burn could becleaned or treated without having to remove the dressing. Also, at leastone side of the second section could be designed so that it is capableof isolating the wound in a clean environment by creating a solidantiseptic barrier around the wound through the use of a colloid typeadhesive or be capable of contacting a wound or burn so that medicinecould be applied to the wound or burn directly.

[0016] With respect the features of the present invention as anepidermal lifting mechanism, the epidermal lifting mechanism may begenerally described as comprising at least one strip of material havinga first side and a second side, the strip further including a first endportion and a second end portion. Between the first side and the secondside are preferably one or more layers of predetermined materials.

[0017] These layers of materials include without limitation, a siliconecoated release liner, an adhesive system to adhere the epidermal liftingmechanism to the nose, a top layer of material, and a spring mechanism.Obviously, the release liner is removed prior to placing the epidermallifting mechanism on the bridge of the nose. The adhesive system, justlike the adhesive system for the dressing mechanism, can include apressure sensitive hypoallergenic acrylic or a hydrocolloid material butany suitable adhesive system may be used. The top layer of material canbe either a non-woven material or a material with some stretchcharacteristics such as a three mil polyurethane film. The springmechanism may comprise a polyester film (usually 2 mils to 8 mils inthickness but any suitable thickness range may be used, e.g., 1-15 milswould be suitable as an alternative thickness range but any thicknessrange can be used depending upon the desired use and durability)laminated to a spun bonded polyester material. The spun bonded polyestermaterial may or may not be coated with a pressure sensitive adhesive.The spring mechanism may be a plurality of materials which are laminatedtogether.

[0018] Although unitary, the mechanism has the following components: apair of nose pods and a bridge section. The nose pods include an exposedadhesive surface which is bonded to the skin on the sides of the nose.The bridge section of the device has at least one fulcrum point, locatedat the bridge of the nose when it is applied to the bridge of a nose,and lies across the bridge of the nose.

[0019] However, it should also be noted that the present invention couldbe applied to simply one side of the nose with the bridge section of thedevice ending at the top of the bridge of the nose and being adheredthereto. Alternatively, the bridge section could simply be a strip ofresilient or elastic material which is connected to the cheek of thewearer at one end by use of an adhesive material and the nose pod beingconnected to the side of the nasal passage at the other end.

[0020] It should be noted that it is preferable for the nose pods toinclude horseshoe shaped slits or cuts which are made in the top layerof the material through the adhesive layer which, when applied to thenose, allows the spring action to generate a uniform lifting force in asuction cup like manner while at the same time applying a shearing forceto the adhesive itself due to the presence of the slit structures,rather than a lifting force thereby creating flexibility from the liftpoint to the adhesion point. By decreasing the lifting (peel) force onthe adhesive, the stability of the bond between the adhesive and theskin is greatly increased and allows more flexibility of the dilatorduring facial movement. Thus the dilator will stay comfortably in placeeven during vigorous movement by the wearer; even when used inapplications other than a nasal dilator. The lifting (peel) force on theadhesive may be further decreased by use of a coextensive, overlayingbarrier layer comprised of a non-adhesive material. The non-adhesive,overlaying barrier layer is preferably located between a portion of theadhesive material and the pod material such that an area ofnon-adhesiveness is created between the adhesive layer and the pod.

[0021] A pair of flaps attached adjacent to the bridge section of theepidermal lifting mechanism create another pair of fulcrum points(fulcrum point 2) between the bridge of the nose (fulcrum point 1) andthe adhesive material thereby increasing the dilation force of the outerepidermis of the nasal passages. The additional fulcrum points areaccomplished by folding of the flaps adjacent to the bridge sectionunderneath the epidermal lifting mechanism allowing the adhesive area ofeach flap to adhere to the bottom adhesive area of the bridge section ofthe epidermal lifting mechanism securing it in place. The flaps includeperforations for ease of folding.

[0022] As discussed above, the pair of flaps creates an additionalfulcrum point. Further, when folded they provide a cushioned area forthe bridge of the nose to cover the adhesive on the underside of theepidermal lifting mechanism so when applied for several hours and thenremoved discomfort to the skin tissue on the bridge of the nose iseliminated.

[0023] When the top and bottom spring laminates are laminated togetherand the epidermal lifting mechanism is applied to the nose, the bendingof the multi-level springing increases the opening force to the nasalpassages over a single level spring. Adding a layer of spring materialon top of another layer of spring material creates a leaf spring action.Because there is a stretching force introduced into the top layer whenbent over a fulcrum point, a stronger spring action is created ascompared to a single layer spring of equal of thickness. Furthermore,bending over a fulcrum point or at multiple fulcrum points furtherimproves the spring action.

[0024] Additionally, various pod configurations may be used to allow forflexibility of the bottom spring and/or to allow the pods to conform tothe irregular surfaces of the nose or epidermal layer to which they areapplied. Further, a fulcrum point may be provided by use of two, spacedapart pad structures having elastic material there between.

[0025] A key advantage of this mechanism is that anytime a personengages in physical activity that increases his or her heart rate, thismechanism allows for the delivery of more oxygen to the lungs. Further,the mechanism allows for more air to be effectively exhaled and thusboth inhalation and exhalation are enhanced so overall breathingefficiency is enhanced.

[0026] Alternatively, this invention may be described as a method forincreasing the flow rate of gas through the nasal passages, the methodcomprising the steps of applying the epidermal lifting mechanism bybending the spring material over the bridge of the nose so that theadhesive material of the nose pods comes into positive contact with thesides of the nose and releasing the nose pods thus allowing the springsto mechanically lift the epidermal surface of the nose and increase thesize of the nasal passage openings.

[0027] Alternatively, the present invention may be structure which maybe used as a nasal dilator wherein the nasal dilator comprises twoseparate pieces each capable of acting independently of the other. Eachpiece having at least one nose pod and an elastic member or stripattached to that nose pod. The elastic member or strip having a firstend and a second end with the nose pods being attached to the first end.The elastic member having a second end attached to an anchor mechanism.The anchor mechanism having a first side and an adhesive materialincluded thereon. The nose pod having the previously described structurefor a nose pod. The anchor mechanism being applied to a predeterminedarea on a persons cheek a sufficient distance away from the side of thepersons nose so that the nose pod, coupled to the elastic member, may beapplied to the outside surface or epidermis surrounding the nasalpassage of a persons nose and the elastic member retracting between theanchor mechanism and the nose pod causing lifting of the epidermis onthe side of the nose and thereby increasing the opening of the nasalpassage way.

[0028] Accordingly, the present invention may be considered an epidermalpositioning mechanism having an elastic material coupled to a first endpiece and a second piece. The first and second end pieces each having atleast one side including an adhesive material. Preferably, but notnecessarily, depending upon the application of the present invention, atleast one of the end pieces would be the anchoring structure ormechanism while the other end piece acts as a lifting end piece.

[0029] Additionally the present invention need not solely be used as anasal dilator but, as previously noted, may also be used as an epidermalpositioning system for treatments of wounds and incisions by eitherkeeping the wound or incision open for the purpose of medical treatmentsuch as surgical procedures or cleansing of the wound or incision or bypositioning the ends of the wound together in close proximity to aid insuturing of a wound or simply to be used as a suture mechanism in and ofitself to hold the ends of a wound together or to hold the ends of anincision together.

[0030] Further, when the device of the present invention is used over awound it may also have application as a bandage. For example, theelastic or resilient material will have at least one side positionedover and adjacent the wound or incision area. This side positioned overor adjacent the wound or incision area may have a medicinal materialapplied thereto. This medicinal material may be, for example, zincchromate or an alginate like calcium or sodium alginate; each of thosematerials respectively having anti-bacterial and clot enhancingcapabilities. Other medicinal materials or even non-medicinal materialscould also be applied using the device of the present inventiondepending upon the goals and results desired of the particular user.

[0031] If the epidermal positioning mechanism of the present inventionis used as a bandage it should be noted that a bandage structure couldbe combined with the present invention such that the bandage structurewould have at least a first end and second end and elastic materialwould be coupled to the first end and to the second end with ananchoring structure coupled to a portion of the elastic material aswell. This would provide at least two anchor points at the ends of theresilient elastic material not coupled to the bandage structure. In thismanner one of the anchor structures could be adhered to the skin at apredetermined position and the bandage structure positioned over thewound or incision by stretching the resilient or elastic material andthen applying the other anchor structure could be to the skin at anotherpredetermined position. In this manner, the elastic material willcontract and this will have the effect of forcing the bandage materialinto more positive contact with the wound and thereby enhance theeffectiveness of the bandaged material. If desired a medicinal compoundcould be applied to the surface of the bandage material which isadjacent to the surface of the wound or incision. Additionally, thebandage material may be comprised of a hydrophilic material.

[0032] The anchoring structure in such a use would of course comprise atleast two end pieces coupled to the elastic material at predeterminedpositions and the end pieces would include an adhesive material attachedto a side of the anchoring end pieces adjacent to the epidermis or skinto which they are to be attached. The bandage structure could also havea medicinal material applied to it as previously noted with respect tothe elastic material. The adhesive material may extend as an adhesivelayer coextensive a side of the anchoring end pieces, or alternatively,may extend over a predetermined portion of a side of an anchoring endpiece. As discussed with regard to a previous embodiment, a coextensive,overlaying barrier layer composed of a non-adhesive material may beprovided. The non-adhesive overlaying barrier layer is preferablylocated between a portion of the adhesive material and end piecematerial.

[0033] Additionally, the mechanism of the present invention could bedescribed as epidermal lifting mechanism having anchor/lifting portions,connected via an elastic or stretchable material, and include anadhesive surface. The anchor/lifting portions being such that eachportion, depending upon where it is applied, may act as either an anchorportion or a lifting portion. The anchor/lifting portions having aplurality of incisions or cuts of predetermined shape which divide eachanchor/lifting portion into a plurality of adhesive areas. This divisionof the anchor/lifting portion into a plurality of adhesive areas allowsthe anchor/lifting portion adhesive areas to be divided such that aftera first anchor/lifting portion is applied to the desired epidermallocation a first predetermined portion of that first anchor/liftingmechanism may be peeled away and leave a second predetermined portion,having a predetermined shape due to the plurality of cuts or incisions,in place on the epidermal location. Subsequently, a secondanchor/lifting portion, connected to the first anchor/lifting portionvia the elastic material, may be applied to a second predetermined ordesired epidermal location so that the elastic material is stretched adesired amount. The second anchor/lifting portion, if it issubstantially similar to the first anchor/lifting portion may be appliedto the epidermis so that it may be peeled away and leave a secondpredetermined portion, having a predetermined shape due to the pluralityof cuts or incisions, in place on the epidermal location. Accordingly,the first and second anchor/lifting portions may act as a separateanchor point and lifting point or as separate anchor points or asseparate lifting points and the elastic material may simply be used tosupply tension between the points or it may be used to apply a materialsuch as a medicine to the epidermis located between the two points or itmay be used to supply tension and apply a material between the twopoints, etc.

[0034] It is to be understood that it is within the scope of thisinvention to provide hook and loop type fastening means for the devicesdescribed. The hook and loop type fastener means may be used incombination with adhesive or as the sole means of applying a device to alimb, by way of example.

[0035] Further, the present invention may be described as a method forusing a dressing mechanism where the dressing mechanism comprises afirst section, a second section, and a third section; the first sectionbeing coupled to the second section and the second section being coupledto the third section; the first section and the third section comprisingan elastic material; the first section and the third section each havinga first side; and a predetermined portion of the first side including anadhesive located thereon. The method consequently comprising: First,applying the first section to a first predetermined location on anepidermis. Second, pulling the third section toward a secondpredetermined location on the epidermis. Third, applying the thirdsection to the second predetermined location on the epidermis.

[0036] Alternatively, the method could be described as a method forusing a dressing comprising a plurality of anchor structures, atreatment section, and an elastic material. The elastic materialextending from the anchoring structure to the treatment section. Theelastic material being coupled to at least one anchoring structure at afirst coupling section and to the treatment section at a second couplingsection. The method comprising the steps of positioning the treatmentsection over a first predetermined area of an epidermis; applying atleast one anchor structure to a second predetermined area of theepidermis; and applying at one other anchor structure to a thirdpredetermined area of the epidermis.

DESCRIPTION OF THE DRAWINGS

[0037]FIG. 1 is a top plan view of a prior art nasal strip.

[0038]FIG. 1A is a top plan view of the prior art nasal strip of FIG. 1including the flaps of the present invention.

[0039]FIG. 2 is a side elevational view of a relaxed multi-level spring.

[0040]FIG. 3 is a side elevational view of a tensioned multi-leveledspring bent over a fulcrum point.

[0041]FIG. 4 is a side elevational view of the epidermal liftingmechanism showing its layered components.

[0042]FIG. 5 is a schematic side elevational view of the epidermallifting mechanism wherein the arrows depict the sheer force and peelingforces.

[0043]FIG. 6 is a top plan view of an end portion of the epidermallifting mechanism.

[0044]FIG. 7 is a bottom plan view of the epidermal lifting mechanism.

[0045]FIG. 8 is a side elevational view depicting the primary layers ofthe epidermal lifting mechanism.

[0046]FIG. 9 is a top plan view of an alternative embodiment of theepidermal lifting mechanism.

[0047]FIG. 10 is a top plan view of an alternative embodiment of theepidermal lifting mechanism.

[0048]FIG. 11 is a top plan view of an alternative embodiment of theepidermal lifting mechanism.

[0049]FIG. 12 is a top plan view of an alternative embodiment of theepidermal lifting mechanism.

[0050]FIG. 13 is a top plan view of an alternative embodiment of theepidermal lifting mechanism.

[0051]FIG. 14 is a top plan view of an alternative embodiment of theepidermal lifting mechanism.

[0052]FIG. 15 is a side elevational view showing the epidermal liftingmechanism properly positioned on the bridge of the nose.

[0053]FIG. 16 is a side elevational view showing the epidermal liftingmechanism improperly positioned too high on the bridge of the nose.

[0054]FIG. 17 is a side elevational view showing the epidermal liftingmechanism improperly positioned too low on the bridge of the nose.

[0055]FIG. 18 is an exploded view of the preferred embodiment of thepresent invention.

[0056]FIG. 19 is a top plan view of an alternative embodiment of thepresent invention including an elastic strip.

[0057]FIG. 20 is a top plan view of an alternative embodiment of thepresent invention showing an embodiment having application for only oneside of a persons nose or for raising a predetermined portion of anepidermal layer.

[0058]FIG. 21 is a top plan view of an alternative embodiment of thepresent invention showing the elastic member having a first end coupledto a pod and a second end coupled to an anchor mechanism for applicationto a selected area of a person or animal epidermis. For example, theanchor mechanism could be applied to a person's cheek and the podapplied to the epidermis of a persons nose to enhance opening of thenasal passage.

[0059]FIG. 22 is a side elevational view illustrating embodiment of FIG.21 with the anchor mechanism applied to a person's cheek and the podapplied to a side of a persons nose.

[0060]FIG. 23 top plan view which illustrates the embodiment of FIG. 21in use to hold an incision open.

[0061]FIG. 24 top plan view which illustrates the embodiment of FIG. 19in use to keep an incision closed.

[0062]FIG. 25 top plan view which illustrates the embodiment FIG. 19 inuse to keep an incision closed with the ends of the incision kept inproper alignment to add in suturing the incision.

[0063]FIG. 26 is a side elevational view showing the embodiment ofeither FIG. 21 or FIG. 19 being used on persons nose as a nasal dilatorto enhance breathing. The embodiment of FIG. 19 is believed to bepreferable to the embodiment of FIG. 21 for this purpose although eithercould be used.

[0064]FIG. 27 is a perspective view generally showing a human nose.

[0065]FIG. 28 is a cross sectional view of the nose in FIG. 27 with thenose shown absent any nasal dilator.

[0066]FIG. 29 is a cross sectional view of the nose in FIG. 27 with thenose shown being in a state of relatively little air flow through thenasal passages.

[0067]FIG. 30 is a cross sectional view of the nose in FIG. 27 with anasal dilator of the present invention applied illustrating anappreciable air flow through the nasal passages.

[0068]FIG. 31 is a top plan view of another alternative embodiment ofthe proposed invention.

[0069]FIG. 32 is a top plan view of an additional proposed embodiment ofthe present invention shown as the embodiment would be manufactured andillustrating the area that is removed to expose the adhesive and thenbent backwards and applied as shown in FIG. 33.

[0070]FIG. 33 is a top plan view of the embodiment shown in FIG. 32applied to an epidermal surface and illustrating the shear point, theadhesive, and the elastic or stretchable material.

[0071]FIG. 34 is a top plan view of an alternative structure to theembodiment illustrated in FIG. 19.

[0072]FIG. 35 is a perspective view of an another alternative structureof the present invention.

[0073]FIG. 36 is a top plan view of the embodiment disclosed in FIG. 35.

[0074]FIG. 37 is a perspective view of an another alternative structureof the present invention.

[0075]FIG. 38 is a top plan view of the embodiment disclosed in FIG. 37.

[0076]FIG. 39 is a perspective view of an another alternative structureof the present invention.

[0077]FIG. 40 is a top plan view of the embodiment disclosed in FIG. 39.

[0078]FIG. 41 is a top plan view another embodiment of the presentinvention illustrating an embodiment of the present invention bysupper-imposing two views of the embodiment; the phantom lines showingthe embodiment at rest without the latex sections being stretched andthe solid lines illustrating the latex sections being stretched whilethe center or second section maintains position over the treatment areadespite the uneven tension applied to the various anchor sections.

[0079]FIG. 42 is a top plan view of the embodiment shown in FIG. 41illustrating how the second center section may be positioned and variousanchoring sections positioned to adjust the stress or pressure appliedat the center section.

[0080]FIG. 43 is a perspective view of another embodiment of the presentinvention.

[0081]FIG. 44 is a top plan view of the embodiment disclosed in FIG. 43.

[0082]FIG. 45 is a perspective view of an another alternative structureof the present invention.

[0083]FIG. 46 is a top plan view of the embodiment disclosed in FIG. 45.

[0084]FIG. 47 is a top plan view illustrating how force may bedistributed in two directions in a particular embodiment of the presentinvention.

[0085]FIG. 48 is a top plan view illustrating how force may bedistributed in four directions in a particular embodiment of the presentinvention.

[0086]FIG. 49 is a perspective view of an another alternative structureof the present invention.

[0087]FIG. 50 is a top plan view of the structure disclosed in FIG. 49.

[0088]FIG. 51 is a perspective view of an another alternative structureof the present invention.

[0089]FIG. 52 is a top plan view of the structure disclosed in FIG. 51.

[0090]FIG. 53 is a perspective view of an another alternative structureof the present invention.

[0091]FIG. 54 is a top plan view of the an alternative embodiment to thestructure disclosed in FIG. 53.

[0092]FIG. 55 is a perspective view of an another alternative structureof the present invention.

[0093]FIG. 56 is a top plan view of an alternative embodiment of thealternative structure shown in FIG. 55.

[0094]FIG. 57 is a top plan view showing the structure disclosed in FIG.55 applied over the incision of a wound and acting as a guide forsuturing the wound.

[0095]FIG. 58 is a top plan view showing the two of the structuresdisclosed in FIG. 55 being used to hold a wound open.

[0096]FIG. 59 is a perspective view showing the structure disclosed inFIG. 55 being used for guiding an intravenous tube and holding the tubein a predetermined position.

[0097]FIG. 60 is a top plan view showing the structure disclosed in FIG.55 holding the edges of a wound or incision together.

[0098]FIG. 61 is a perspective view of an another alternative structureof the present invention.

[0099]FIG. 62 is a top plan view of the structure disclosed in FIG. 61.

[0100]FIG. 63 is a perspective view of an another alternative structureof the present invention.

[0101]FIG. 64 is a top plan view of the structure disclosed in FIG. 63.

[0102]FIG. 65 is a perspective view of an another alternative structureof the present invention.

[0103]FIG. 66 is a top plan view of the structure disclosed in FIG. 65.

[0104]FIG. 67 is a perspective view of an another alternative structureof the present invention.

[0105]FIG. 68 is a view from line 68-68 of FIG. 69.

[0106]FIG. 69 is a top plan view of the structure disclosed in FIG. 67.

[0107]FIG. 70 is a perspective view of an another alternative structureof the present invention.

[0108]FIG. 71 is a top plan view of the structure disclosed in FIG. 70.

[0109]FIG. 72 is a perspective view of an another alternative structureof the present invention.

[0110]FIG. 73 is a top plan view of the structure disclosed in FIG. 74.

[0111]FIG. 74 is a top plan view of another alternative embodiment ofthe present invention.

[0112]FIG. 75 is a perspective view of an another alternative structureof the present invention.

[0113]FIG. 76 is a top plan view of the structure disclosed in FIG. 75.

[0114]FIG. 77 is a cross-sectional view from line 77-77 of FIG. 84.

[0115]FIG. 78 is a cross-sectional view from line 78-78 of FIG. 86.

[0116]FIG. 79 is a cross-sectional view from line 79-79 of FIG. 86.

[0117]FIG. 80 is a cross-sectional view of a structure similar to thestructure disclosed in FIG. 86 illustrating the use of input and outputports which may be used to irrigate a wound or deliver medicine to apredetermined area.

[0118]FIG. 81 is a view taken from line 81-81 of FIG. 39.

[0119]FIG. 82 is a view taken from line 82-82 of FIG. 40

[0120]FIG. 83 is a top plan view of another alternative embodiment ofthe present invention.

[0121]FIG. 84 is a perspective view of the alternative structure of thepresent invention disclosed in FIG. 83.

[0122]FIG. 85 is a top plan view of another alternative embodiment ofthe present invention.

[0123]FIG. 86 is a perspective view of the alternative structure of thepresent invention disclosed in FIG. 85.

[0124]FIG. 87 is a top plan view of another alternative embodiment ofthe present invention.

[0125]FIG. 88 is a top plan view of another alternative embodiment ofthe present invention.

[0126]FIG. 89 is an illustration showing how the embodiment disclosed inFIG. 70 may be used on an area of the human body that is subject to ahigh degree of movement.

[0127]FIG. 90 is an illustration showing how another alternativeembodiment of the present invention may be used on an area of the humanbody that is subject to a high degree of movement.

[0128]FIG. 91 illustrates how another alternative embodiment of thepresent invention may be used as a nasal dilator.

[0129]FIG. 92 illustrates another method by which the alternativeembodiment of the present invention shown in FIG. 91 may be used as anasal dilator.

[0130]FIG. 93 illustrates how the embodiment shown in FIG. 91 may beused to hold a flap of skin, in this case a human ear flap, in apredetermined position. This is useful where its is desired to have easyaccess to an area that might otherwise be blocked by a fold or flap ofskin thus making work on that area difficult or cumbersome.

[0131]FIG. 94 is a perspective view of one embodiment of the presentinvention, and illustrating a hydrophilic pad material.

[0132]FIG. 95 is a top plan view of the device illustrated in FIG. 94.

[0133]FIG. 96 is a cross sectional view of the device shown in FIGS. 94and 95 and taken along line 96-96 of FIG. 95.

[0134]FIG. 97 is a perspective view of a device similar to that of FIGS.94-96, but showing a hook and loop type fastener in combination withadhesive fastening means.

[0135]FIG. 98 is a top plan view of the device illustrated in FIG. 97.

[0136]FIG. 99 is a cross sectional view of the device shown in FIGS.97-98, and taken along line 99-99 of FIG. 98.

[0137]FIG. 100 illustrates the device shown in FIGS. 97-99 in use arounda human limb.

[0138]FIG. 101 is a top plan view of a device similar to that shown inFIGS. 97-100, but showing use of a hook and loop type fastener absentthe additional adhesive attachment means illustrated in previous views.

[0139]FIG. 102 is a cross sectional view of the device shown in FIG. 101and taken along line 102-102 thereof.

[0140]FIG. 103 is a top plan view of an embodiment showing a barrierlayer.

[0141]FIG. 104 is a cross sectional view of the device shown in FIG. 103and taken along line 104-104 thereof.

[0142]FIG. 105 is a perspective view of another embodiment including abarrier layer.

[0143]FIG. 106 is a cross sectional view of the device seen in FIG. 105and taken along line 106-106 thereof.

[0144]FIG. 107 is a top plan view of another embodiment including abarrier layer.

[0145]FIG. 108 is a cross sectional view of the device seen in FIG. 107and taken along line 108-108 thereof.

[0146]FIG. 109 is a top plan view of another embodiment including abarrier layer.

[0147]FIG. 110 is a cross sectional view of the device seen in FIG. 109and taken along line 110-110 thereof.

[0148]FIG. 111 is an exploded view of one embodiment of the presentinvention and showing a plurality of barrier layers.

[0149]FIG. 112 is a perspective view of the embodiment seen in FIG. 111in place on an epidermis.

[0150]FIG. 113 is a view similar to that of FIG. 112, but showing thedevice in an arched position to more clearly show the barrier strip.

DETAILED DESCRIPTION

[0151] Although the disclosure hereof is detailed and exact to enablethose skilled in the art to practice the invention, the physicalembodiments herein disclosed merely exemplify the invention which may beembodied in other specific structure. While the preferred embodiment hasbeen described, the details may be changed without departing from theinvention, which is defined by the claims.

[0152] The invention comprises an epidermal lifting mechanism forproviding a lifting force to a predetermined epidermal area, such as thebridge of the nose, to provide an increased flow rate of gas through thenasal passage and will be referred to generally as 10 in the followingdetailed description.

[0153] Referring to FIGS. 1 and 1A, a prior art device is shown. Theprior art device shown in FIG. 1 is currently marketed by CNS, Inc. ofChanhassen, Minn. and sold under the trademark BREATHE RIGHT. The samedevice is shown in FIG. 1A, however the device in FIG. 1A includes theflaps of the present invention whose structure and advantages arediscussed in detail below.

[0154] The present invention, indicated generally by the referencenumeral 10, includes a two part multi-level leaf spring 20 as shown inFIG. 2. The two part multi-level leaf spring 20 comprises a pair ofspring laminates 22 and 24. Each spring laminate 22 and 24 ismanufactured from a 2 mil to 8 mil polyester film laminated to a spunbonded polyester material. The spun bonded polyester material may or maynot be coated with a pressure sensitive adhesive. The spring laminates22 and 24 are laminated together.

[0155] As illustrated in FIG. 3, when the top 24 and bottom 22 springlaminates are laminated together and the invention 10 is applied to thebridge of the nose, represented by the fulcrum point 26, the bending ofthe multi-level spring 20 increases the opening force to the nasalpassages over a single level spring.

[0156] Adding a layer of spring material 24 on top of another layer 22of spring material creates a leaf spring action. Because there is astretching force introduced into the top layer 24 when bent over afulcrum point, a stronger (compound) spring action is created ascompared to a single layer spring of equal thickness. Furthermore,bending over a fulcrum point creates a stronger yet spring action.

[0157] Now referring to FIGS. 4 and 18, the material layers of theinvention 10 include a silicone coated release liner 30, an adhesivesystem 40 to adhere the epidermal lifting mechanism 10 to the nose, atop layer of material 50, and the two part spring laminate 20. The toplayer 50 is composed of two layers of material 50A and 50B and containsthe springs 24 and 22 there between, as shown in FIG. 18. The releaseliner 30 is removed prior to placing the mechanism 10 on the bridge ofthe nose. The adhesive system 40 can either be a pressure sensitivehypo-allergenic acrylic or a hydrocolloid system. The top layer ofmaterial 50 can be either a non-woven material or a material with somestretch characteristics such as a 3 mil polyurethane film.

[0158] The preferred embodiment of the invention 10 is shown in FIG. 7.Although unitary in construction, it has the following components: apair of pods 60 and a bridge section 70. The pods 60 include an exposedadhesive surface 62 which is bonded to the skin on the sides of thenose. The pod 60 configurations allow for flexibility of the bottomspring 22 to conform to the irregular surfaces of the nose. The bridgesection 70 of the device has at least one fulcrum point as shown in FIG.3 and lies across the bridge of the nose as shown in FIG. 15.

[0159] As shown in FIG. 6, the pods 60 include horseshoe shaped cuts orincisions 64 in the top layer of material 50 through the adhesive layer40 which, when applied to the nose, allows the spring action to generatea uniform lifting force in a suction cuplike manner while at the sametime applies a shearing force to the adhesive itself rather than apeeling force thereby creating flexibility from the lift point to theadhesion point. This principle is demonstrated in FIG. 5. By decreasingthe peel force 42 on the adhesive 40 the bond between the adhesive 40and the skin is greatly increased and allows more flexibility of theepidermal lifting mechanism 10 during facial movement. The shearingforces are shown at 44.

[0160] Referring back to FIG. 7, the present invention 10 may be furtherimproved by including a pair of flaps 80 which are attached adjacent tothe bridge section 70 of the invention 10. The flaps 80, when foldedunderneath or over the adhesive layer 40 of the bridge section 70,create another pair of fulcrum points along lines 82 between the bridgeof the nose (fulcrum point 2) and the pods 60 when the invention 10 isapplied to the wearer's nose. Thus, the flaps 80, when folded, functionto increase the dilation force to the outer epidermis of the nasalpassages.

[0161] More specifically, the additional fulcrum points 82 areaccomplished by folding the flaps 80 underneath the bridge section 70thereby allowing the adhesive area of each flap 84 to adhere to thebottom of the bridge section 70 thus securing it in place. The flaps 80further include perforations 86 for ease of folding.

[0162] As discussed above, the pair of flaps 80 adds fulcrum points.Accordingly, when the flaps 80 are folded they form end sections alonglines 82 which will be located to either side of the bridge of the nose.Each of the end sections along lines 82 will act as a fulcrum point inaddition to the bridge of the nose thereby increasing the number offulcrum points and the mechanical lifting ability of the presentinvention. Further, when folded they provide a cushioned area for thebridge of the nose and cover the adhesive 40 on the underside of thebridge section 70 so when applied for several hours and then removed,discomfort to the skin tissue on the bridge of the nose is greatlyreduced or eliminated since no adhesive has been in contact with thebridge of the nose due to the barrier created by the flaps.

[0163] The material layers of the invention 10 are shown in FIG. 8.Again, the layers include a silicone coated release liner 30, anadhesive system 40 to adhere the epidermal lifting mechanism 10 to thenose, a first spring laminate 22, a second spring laminate 24, and a toplayer of material 50.

[0164] Alternative embodiments of the invention 10 are shown in FIGS. 9through 14. In FIG. 9, the shape of the pods 60 is shown to berectangular instead of round. In FIG. 10, the horseshoe shaped cuts orincisions 64 have been removed and additional slits 66 and 66A have beenadded. In this embodiment, when the flaps 80 are not folded over, slits66A mechanically adjust the peeling action to a shear action therebyallowing greater adhesion over the predetermined epidermal area.Additionally, in this embodiment a cut could be made along line 100 todivide the invention 10 into sections 13 and 15 whereby section 13 couldbe discarded and section 15 could be used as a dilator for only one sideof a person's nose.

[0165] The embodiment shown in FIG. 11 includes slits 66 and furtherincludes a two-part pod 60. Pod 60 comprises an upper pod half 68 and aLower pod half 69. Pod halves 68 and 69 and slits 66 allow for greaterflexibility of the pod 60 on the nose of the wearer.

[0166] The embodiment shown in FIG. 12 is similar to that shown in FIG.10 with the exception that the bridge section 70 has been widened. Theembodiment of FIG. 13 includes the wider bridge section 70 incombination with rectangular pods 60. Additional slits 67 have also beenadded near the outer sides of the pods 60. Slits 67 change the directionof the force applied to the pods 60 so that instead of a peel force (aforce which tends to peel away the pods 60 from the epidermis to whichthey are applied) to a sheer forces (a force which tends to drag thepods 60 across the epidermis to which they are applied).

[0167] The embodiment depicted in FIG. 14 demonstrates the principalthat different pod 60 configurations can be used on the same epidermallifting mechanism 10. The pod 60 shown on the left side has a slopingside to allow for better adhesion to the side of the nose.

[0168] The application of the invention 10 to the nose of the wearer isshown in FIGS. 15 through 17. Preferred installation of the epidermallifting mechanism 10 on the bridge of the nose is shown in FIG. 15 whilein FIG. 16, the epidermal lifting mechanism 10 is applied too high onthe nose and is applied too low in FIG. 17. However, while the positionsshown in FIGS. 16 and 17 are not preferred they are functional since thestructure of the present invention 10 allows a user the ability to applythe invention 10 over a relatively large epidermal area and thuseffectiveness of the present invention is greatly enhanced. The presentinvention will generally work effectively in all the positions shown inFIGS. 15-17.

[0169] Alternatively, this invention 10 may be described as a method forincreasing the flow rate of gas through the nasal passages, the methodcomprising the steps of removing the release liner 30, and positioningthe invention 10 as shown in FIG. 15 or as shown in FIGS. 16 and 17,depending upon the comfort of the wearer.

[0170] Referring now to FIG. 19, a top plan view of an alternativeembodiment of the present invention 10 may be seen to comprise anelastic midsection 110 having ends 111 and 112. Ends 111 and 112 arecoupled to pod sections 60. This embodiment does not include any springmechanism other than the elastic section 110; the elastic section 110taking the place of the spring mechanism. The resiliency of the elasticsection 110 will cause the two nasal pods 60 to be drawn together whenthe elastic member contracts. If this is done over a fulcrum point suchas the bridge of the nose it will cause a lifting of the nasal passagesand thus may be used as a nasal dilator as illustrated in FIG. 26.

[0171] Additionally the mechanism of FIG. 19 may be used as shown inFIGS. 24 and 25 to aid in holding a wound or incision 17 closed eitherfor the purposes of healing as illustrated in FIG. 24 or for the purposeof aiding in suturing as illustrated in FIG. 25. The pods 60 adhering tothe epidermis to either side of the wound and the elastic member 110being stretched across the wound so that it will contract and draw thetwo pods 60 towards each other thereby closing the wound in an effectivemanner. Additionally, when the wound is closed in this manner a surgeonor physician may have both hands free to apply sutures 115 along thewound or incision 17. This is believed particularly helpful when dealingwith a large wound or incision.

[0172] With respect to the embodiment of the invention shown in FIG. 19it should be noted that U shaped cuts or incisions 64 are alsoillustrated. Again, these cuts or incisions may be of any shape althoughthe U, or horseshoe shape is preferred, however the embodiment disclosedin FIG. 19 could function with these U, or horseshoe shaped cuts orincisions 64.

[0173] Referring now to FIG. 20 an alternative embodiment of the presentinvention for use as a nasal dilator is shown. In this embodiment thespring sections are included as shown in FIG. 18 although they are notshown in FIG. 20. This embodiment functions in a manner similar to theembodiment FIG. 10 and is simply meant to illustrate once again that thenasal dilator of the present invention could be applied to only one sideof a person's nose 19.

[0174] Referring now to FIG. 21 another alternative embodiment of thepresent invention is shown in a top plan view illustrating the elasticmember 110 coupled at its end 112 to pod 60 and coupled at its end 111to an anchor 120. The anchor 120 has an adhesive layer applied to it inthe same manner as the adhesive layer which is applied to the pod 60.The embodiment of the invention 10 shown in FIG. 21 has application formaintaining an incision opening or wound opening for either a surgicalprocedure or cleansing purposes as illustrated in FIG. 23 or for use asa nasal dilator for application to only side of a person's nose asillustrated in FIG. 22.

[0175] Referring to FIG. 22 pod 60 may be seen applied to the side of apersons nose 19 and elastic member 110 is stretched so that anchor 120may be applied to the side of persons face 19A. Thus, elastic member 110will contract and pull pod 60 and anchor 120 toward one another butsince anchor 120 is positioned on a substantially stationary epidermalarea of the person's face the majority of the movement will occur at pod60 causing the epidermal area to which it is applied to be pulledoutward and thus open the nasal passage.

[0176] Referring to FIG. 23, the incision 17 may be seen to be held openby the action of the embodiment disclosed in FIG. 21. The anchors 120are applied to a substantially stationary epidermal area and the elasticmembers 110 are stretched and the pods 60 are positioned to either sideof the wound or incision to hold it open so that the wound may becleansed or a surgical procedure may be performed through the incisionthus freeing the physician's hands for this purpose.

[0177] It should be noted that the U shaped cuts 64 are disclosed in theembodiment of the present invention 10 shown in FIG. 21. While these Ushaped cuts are preferred they are not considered necessary to practicethe present invention.

[0178] Referring now to FIGS. 28, 29 and 30, FIG. 28 shows the nose 19and the nasal passages 119 in cross sectional view. The nasal passagesin FIG. 28 being shown open but absent the use of any nasal dilator. InFIG. 29 the same cross sectional view is shown but the nose 19 and inparticular the nasal passages 119 are shown being in a state ofrelatively little airflow through the nasal passages 119. FIG. 30illustrates a cross sectional view using a nasal dilator of the presentinvention 10 wherein the nasal passages 119 of the nose 19 are heldsubstantially open for airflow through the nasal passages 119.

[0179] Clearly, the alternative embodiments shown in FIGS. 19 and 21could also be practiced according to the methods previously disclosed.Specifically, the embodiment of FIG. 19 could be practiced as a methodusing the structure previously described wherein the embodimentdisclosed in FIG. 19 is applied by first applying one nose pod section60 to ore side of a wound 17 and stretching the elastic member 110 overthe wound 17 and then applying the nose pod section 60 to the other sideor opposite side of the wound or incision 17 whereby the wound orincision 17 is held closed. Additionally, it should be noted that amedicinal material could be applied to the elastic member 110 over theportion of its surface which would be adjacent to the wound or incision17 and thus aid in healing of the wound. Medicinal materials such aszinc chromate or calcium alginate or sodium alginate are possible suchcompounds.

[0180] Alternatively, the embodiment of FIG. 21 could be used in amethod wherein the pod 60 is applied to an epidermal area which isdesired to be pulled or raised. This epidermal area could be an areaimmediately adjacent an incision or wound 17 or the side epidermis of aperson's nose 19. The elastic member 110 being stretched and the anchorportion 120 being applied with its adhesive side to an epidermal areawhich is relatively stationary and the elastic material 110 contractingand thereby raising or pulling or lifting the skin to which the pod 60has been attached to via its adhesive side.

[0181] Alternatively, as illustrated in FIGS. 31, 32, and 33, themechanism of the present invention could be described as epidermallifting mechanism having anchor/lifting portions 120, connected via anelastic or stretchable material 110, and include an adhesive surface121. The anchor/lifting portions 120 being such that each portion 120,depending upon where it is applied, may act as either an anchor portion120 or a lifting portion 120. The anchor/lifting portions 120 having aplurality of incisions or cuts 64 of predetermined shape, (e.g., Ushaped as illustrated in FIGS. 31-33) which divide each anchor/liftingportion 120 into a plurality of adhesive areas 121 a and 121 b. Thisdivision of the anchor/lifting portion 120 into a plurality of adhesiveareas 121 allows the anchor/lifting portion adhesive areas 121 to bedivided such that after a first anchor/lifting portion 123 is applied tothe desired epidermal location a first predetermined portion 121 c ofthat first anchor/lifting portion 120 may be peeled away and leave asecond predetermined portion 121 d, having a predetermined shape due tothe plurality of cuts or incisions 64, in place on the epidermallocation. Subsequently, a second anchor/lifting portion 125, connectedto the first anchor/lifting portion 123 via the elastic material 110,may be applied to a second predetermined or desired epidermal locationso that the elastic material 110 is stretched a desired amount. Thesecond anchor/lifting portion 125, if it is substantially similar to thefirst anchor/lifting portion 123 may be applied to the epidermis so thatit may be peeled away and leave a second predetermined portion 121 d,having a predetermined shape due to the plurality of cuts or incisions64, in place on the epidermal location. Accordingly, the first andsecond anchor/lifting portions 123 and 125 may act as a separate anchorpoint and lifting point or as separate anchor points or as separatelifting points and the elastic material 110 may simply be used to supplytension between the points 123 and 125 or it may be used to apply amaterial such as a medicine to the epidermis located between the twopoints or it may be used to supply tension and apply a material betweenthe two points, etc. The purpose of this alternative embodiment to takeadvantage of the multiple shear points 200 created using this design toenhance the adhesion of this embodiment to the desired epidermallocation so that the anchor/lifting portions 120 maintain properadhesion at their desired locations.

[0182] Referring now to FIGS. 35 and 36 another alternative embodimentof the present invention may be observed. The dressing structure 300 iscomprised of a multiple layer or laminated material 302 at its anchorsections 301 and 303 and a latex rubber 321 at its center section 325.The laminated material includes a top surface 315 made of TYVEC brandmaterial and a bottom surface 319 also made of the same material butcoated with a hypo-allergenic acrylic adhesive 327 and covered with asilicone release liner. The anchor sections 301 and 303 have an adhesivebottom layer 311 for adhering to an epidermis 11. The laminated material302 has a channel or slit: 313 into which margins 317 of the latexrubber 321 are engaged. The margins 317 include openings 304 and thechannel 313 includes the adhesive 327 which extends through the openings304 from the bottom 319 to the top 315. This creates a series ofadhesive openings 304 which act as plugs which extend through theopenings 304 and couple the upper layer 315 to the lower layer 319effectively holding the non-elastic TYVEC material together so that thelatex material 321 is effectively locked into the channel 313 and cannoteasily be removed by tension when stretched. Accordingly, margins 317are secured to the anchor sections 301 and 303 at locking section 317 a.

[0183] Still referring to FIG. 35 and FIG. 36 the center section 325 maybe observed to include a TYVEC brand material stabilizing section 323which is bonded to a gauze pad 314 via openings 316, in the latex 321which contain adhesive 327. The adhesive 327 extending in a plug likemanner from the pad 314 to the stabilizing section 323. This creates abandage or dressing structure which is suspended by the latex 321between the anchoring sections 301 and 303. Further, as illustrated byFIGS. 51 and 52 the shape of the TYVEC top layer 323 need not berectangular but can be of any design, e.g., round. When this embodimentis applied over a wound or other predetermined area of the epidermis 11the latex material 321 is stretched between the two anchoring sections301 and 303 which causes the latex 321 to act much like a leaf springand apply a positive pressure downward through the pad 314. Accordingly,the wound to which this device 300 is applied will have a positivepressure against it. It is well known in first aid that pressure appliedto a wound will help reduce bleeding. The present invention thusprovides an effective bandage which will also effectively limit bleedingfrom the wound. Further, the positive down pressure will effectivelymaintain contact of the pad 314 with the wound or other predeterminedarea despite movement of the surrounding epidermis 11.

[0184] Still referring to FIGS. 35 and 36 it should be noted thatstability strips 310 are included to illustrate that it is presentlybelieved that in commercial utilization of the present invention that itis believed to be desirable to provide material to keep the dressingstructure 300 relatively rigid prior to use. The strips 310 are removedprior to use by tearing the material 302 along the perforations 308. Thestrips 310 are separated from the latex 321 by gap 318. Also, shown inFIG. 36 is curve 320 which is believed to provide strain relief when thepresent dressing structure 300 is applied so that even pressure isexerted across the latex 321.

[0185] The openings 312, also shown in FIGS. 37 and 38, should also benoted. The openings 312 are located in a tension adjustment section 412of the latex 321. Depending upon the number of openings 312 or whetherthey are present at all the tension applied to the latex section 321.Further, as the tension adjustment section 412 of the latex 321 isstretched to apply the dressing structure 300 the openings 312 willbecome distorted. The greater the stretching the greater the tensionapplied to the latex section 321. Consequently, a person applying thedressing structure disclosed herein may visually see the amount oftension applied to the latex section 321. This allows a person applyinga dressing 300 or series of dressings 300 to apply the dressings 300 ina manner so that the pressure and exerted by the stretching of the latex321 is kept relatively constant. Alternatively, it allows the user toapply dressings 300 which will apply a variety of pressures across thedesired treatment area.

[0186] Referring to FIGS. 37 and 38 an alternative embodiment from thatshown in FIGS. 35 and 36 may be seen wherein the pad 314 and inelasticmaterial 323 are not incorporated so that only an elastic section 322remains.

[0187] Referring to FIGS. 41 and 42, and FIGS. 45 and 46, anotheralternative embodiment to the present invention is illustrated. Thisembodiment is substantially the same structurally as the embodimentsdisclosed in FIGS. 35 and 36 with the exception that two additionalanchors sections 305 and 307 have been added. Also, the stabilizingsection 323 is round rather than rectangular in shape. The pad 314 iscoupled to the stabilizing section as previously described. FIGS. 40 and41 illustrate that tension adjustment sections 412 need not all applythe same level of tension or be stretched equally. Further, the anchorsections 301,303, 305, and 307 may be moved relative to each other whilethe center section 325 is maintained in position over the desiredtreatment area. Accordingly, when the present invention is applied overan area of the body that is subject to movement such as an elbow, knee,or hand the center section 325 will maintain its position over the woundor area to which it is desired to apply treatment.

[0188] Referring to FIGS. 39 and 40 another alternative embodiment maybe observed. In this alternative the openings 312 have been eliminatedto illustrate that they are optional and not necessary structures topractice the present invention.

[0189] Additionally, the stabilizing section disclosed in FIG. 40 may beseen in FIG. 82 to be composed of a top layer 323 of TYVEC brandmaterial, a layer of adhesive 327, a layer of latex 321 having openings304, and a pad 314 to which an ointment 390 has been applied. The pad314 being coupled to the material 323 via the adhesive 327 which extendsthrough the openings 304 in the latex 321.

[0190] The stabilizing section disclosed in FIG. 39 may be seen in FIG.81 to be composed of a top layer 323 of TYVEC brand material, a layer ofadhesive 327, a layer of latex 321 having openings 304, and a pad 314.The pad 314 being coupled to the material 323 via the adhesive 327 whichextends through the openings 304 in the latex 321.

[0191] Referring to FIGS. 43 and 44 another alternative embodiment ofthe present invention may be seen. In this embodiment four anchorsections are again shown coupled via respective locking sections 317 a.In this embodiment just a latex material 321 extends between the anchorsections 301,303,305, and 307. A curvature 330 is provided in the latexmaterial 321 to allow for uniform stretching of the material. Also, aperforation 308 is provided to connect the anchor sections 303,305,307and 301 to each other prior to use of the dressing 300. The perforationsare broken when it is desired to use this embodiment of the dressing300.

[0192] Referring to FIGS. 47 and 48 it is again illustrated that thelatex section 321 of the dressing 300 may be stretched or extended in aplurality of directions. This allows for versatility of use on a varietyof surfaces.

[0193] Referring to FIGS. 49 and 50 another alternative embodiment ofthe present invention is disclosed showing that the openings 312 may bedeleted from the tensioning section 312 a if desired without detractingfrom the principles of the invention disclosed herein.

[0194] Referring to FIG. 53 a very simple version of the presentinvention is illustrated. In this embodiment the dressing 300 iscomposed of a piece of latex 321 having two ends to which anchors 301and 303 are respectively attached using an adhesive. The ends of thelatex 321 are simply sandwiched between the layers 315 and 319. A pieceof stiffening material 323 is glued across the mid-section of the latex321 and pad 314 is glued to the underside of the latex 321 asillustrated. The bottom side of each respective anchor section 301 and303 having an adhesive 327 applied thereto.

[0195] Referring to FIG. 54 illustrates the embodiment of FIG. 53 withthe addition of a series of openings 383 being applied to the entiredressing 300. Depending upon the material through which the opening 383is made the function of the opening will vary. Openings 312 in the latex321 will act to vary the elasticity of the latex. Openings 383 a willcreate stress points and help maintain the dressing 300 in a straightalignment between its anchors 301 and 303. Openings 383 b will allow airaccess to the treatment area.

[0196] Referring now to FIGS. 55, 56, 57, 58, 59, and 60 anotherembodiment of the dressing 300, similar to the embodiment disclosed inFIGS. 37 and 38 is disclosed. In this embodiment the entire latexsection 321 is essentially comprised of tensioning section 412 havingopenings 312. The anchors 301 and 303 function as previously described.The latex 321 in FIG. 55 is held in place as described in FIG. 53 whilethe latex 321 in FIG. 56 is held in place as described in reference toFIGS. 35 and 36 by adhesive 327 extending through openings 304. FIGS.57-60 illustrate that this embodiment may be placed over an incision 17to act as a guided for applying stitches 17 a, see FIG. 57, orembodiments may be placed to either side of an incision 17 to hold theincision open, see FIG. 58, or the openings 312 may be used to hold anintravenous tube 307 in place, see FIG. 59, or the dressing 300 simplybe used to hold an incision 17 closed without resorting to theapplication of stitches 17 a, see FIG. 60.

[0197] Referring to FIGS. 61through 66 and FIGS. 70 through 76 a varietyof alternative designs of the dressing 300 may be seen. All thedressings 300 disclosed operate on the same principles previouslydisclosed but they are shown to illustrate that shape of the latex 321and the openings 312 may varied without departing from the inventiondescribed herein. Also, illustrated is the fact that the pad 314 and thematerial 323 may vary in size and shape. Further, the radius or arcuatesection 330 may be varied in shape to provide for uniform distributionof tension across the latex 321.

[0198] Referring to FIGS. 67 through 69 another embodiment of thepresent invention may be seen wherein the latex 321 includes a ringsection 347 of material 323. Coupled to the ring section 347 is thelatex 321 and a clear urethane material 345 of the type commonlysuitable for medical applications; alternative materials may be usedsuch as any suitable breathable material depending upon the applicationdesired. As illustrated by FIG. 68 the ring section 347 is comprised ofa layer of TYVEC brand material 323, a layer of adhesive 327, a layer oflatex 321 having openings 316 which function in the same manner asopenings 304, another layer of adhesive 327, another layer of TYVECbrand material 323, the clear material 345, and a colloid adhesive 349.This structure creates a stable space 351 over the desired area and thecolloid 349 isolates the area and prevents stretching of the epidermis11 under the space 351 so that the wound or other desired area is keptin an isolated environment which may be observed through the material345. The colloid 349 and the material 345 isolating the wound fromexternal sources of infection.

[0199] Referring to FIGS. 85 and 86 another alternative design of thepresent invention may be observed. In this embodiment the center sectionis a breathable membrane 372 of a type commonly used for dressingapplications. Perforations 308 allow the dressing to be broken apart toform a plurality of anchor sections 301. Openings 373 are provided inthe member 372 to prevent tearing of the membrane 372. A locking section317 a, previously described, is provided. Referring to FIGS. 78 and 79the cross-sectional construction may be seen to include at top layer ofmaterial 323, a layer of adhesive 327, latex 321 including openings 304,adhesive 327, material 323, adhesive 327, the breathable membrane 372,and a colloid adhesive 349. The dressing 300 capable of covering adesired area of an epidermis 11 and substantially isolating that areafrom external contamination.

[0200] Referring now to FIGS. 83, 84, and 77 the same structures asshown in FIGS. 85 and 86, 78 and 79 are shown with the exception thatthe breathable membrane 372 has been eliminated so that there is only anopening 370. This dressing 300 is believed to have application where itis desired that the wounded or burnt area of the epidermis be exposed toair. Since the spring action of the latex 321 will press down on theepidermal area surround the wound or burn within the opening 370 this isbelieved to cause the wound or burn to well up and thus receive maximumexposure.

[0201] Referring now to FIG. 80 another alternative embodiment similarto the structure disclosed in FIG. 78 with the exception that thebreathable membrane 372 has been replaced with an sealed membrane 399such as a urethane commonly used to hold IV type fluids. Extendingthrough this membrane 399 is an input port and an output port. Thisdressing 300 could be used to seal a wound from external contaminationbut allow the wound to be irrigated or medicine applied or tissuesamples taken.

[0202] Referring now to FIGS. 87 and 88 another embodiment isillustrated showing a resealable closure 380. The closure or zipper 380may bisect the dressing or extend only partially across the dressing300. The closure 380 is provided to allow access to the wound or burn orother area without having to remove and reapply the bandage.

[0203] Referring now to FIGS. 89-93 various applications of thedressings 300 described herein may be seen to be illustrated in use on ahuman being.

[0204] Referring now to FIGS. 94-96 another embodiment, similar to thestructure disclosed in FIGS. 35-52, and 61-76 is shown. As seen, thedressing structure 300 is comprised of a multiple layer or laminatedmaterial 302 at anchor sections 301 and 303, and a multiple layer orlaminated material 302 a at its center section 325. As may be seenparticularly in FIG. 96, the laminated material 302 includes a topsurface or layer 315 made of TYVEC brand material or spun silk, and abottom surface or layer 319 comprised of a hypo-allergenic adhesivelayer 327, covered with a silicone release liner 30. The laminatedmaterial 302 preferably further includes a channel 313 into whichmargins 317 of an elastic member 321 are engaged, thereby locating themargins 317 between the top surface layer 315 and the adhesive layer327. The elastic member 321 may be formed of latex rubber or othersuitably elastic material. The margins 317 preferably includes openings304 which allow the adhesive layer 327 to extend through the openings304 to communicate with the top surface layer 315, thereby coupling thetop surface layer 315 to the margins 317. This action effectively locksthe elastic material 321 into position so that it may not be easilyremoved by tension when stretched.

[0205] Still referring to FIGS. 94-96, the center section 325 may beobserved to include a stabilizing section 323. The stabilizing section323 may be fabricated of TYVC brand material, spun silk, or any othersuitable material. The stabilizing section 323, is preferably bonded tothe pad member 314 a and elastic member 321 via openings 316, in elasticmember 321 which allow an adhesive layer 327 a to communicate throughthe openings 316 with section 323. This action couples the stabilizingsection 323, elastic member 321 and pad member 314 a at the stabilizingsection 323 whereby the pad member 314 a is suspended by the elasticmember 321 between the anchor sections 301, 303.

[0206] The stabilizing section 323 may be further provided with openings306 which allow easy dispersal of medicaments or other substances (notshown) through the pad member 314 a to an epidermis (not shown in theseviews). It is further to be noted that the pad member 314 a may beformed of a hydrophilic material (as shown), gauze, or any othersuitable material. Furthermore, it may be noted that a silicone surfacematerial 600 may be applied to any pad member surface, to aid in shearreduction on the epidermal surface to which the device is affixed.Alternatively, the pad member may be entirely replaced by a siliconesurface material (not shown). Additionally, previously describedembodiments may also include a hydrophilic material as part of the pador center section construction.

[0207] The dressing structure 300 seen in FIGS. 94 96 may be furtherobserved to include a barrier layer 500. The barrier layer 500preferably overlays at least a portion of the adhesive layer 327,between the adhesive layer 327 and the elastic member 321. As is seenparticularly in FIG. 96, the adhesive layer 327 may preferably include adistal end 502 and a proximal end 504. The barrier layer 500 preferablyoverlays a portion at the proximal end 504 of adhesive layer 327. Thebarrier layer 500 reduces the lifting or peel force on the adhesivelayer 327 thereby increasing the stability of the bond between theadhesive layer 327 and an epidermis (not shown) when the dressingstructure 300 is applied and the elastic member 321 is stretched betweenthe anchor sections 301, 303. As illustrated in previous embodiments,when this embodiment is applied over a wound or other predeterminedarea, the elastic member 321 acts much as a leaf spring and applies apositive pressure downward through the pad member 314 a. The additionaluse of a hydrophilic pad material as shown in the embodiment of FIGS.94-96 works in combination with the positive pressure downward pressureto effectively maintain contact of the pad member 314 a with thepredetermined area.

[0208] As seen in FIGS. 94-96, openings 312 may be located in a tensionadjustment section 412 of the elastic member 321. As mentionedpreviously with regard to other embodiments, as the tension adjustmentsection 412 of the elastic member 321 is stretched to apply the dressingstructure 300, the openings 312 will become distorted. The greater thestretching, the greater the tension applied to the elastic member 321.In this way the amount of tension applied to the elastic member 321 maybe seen, allowing a person applying the dressing to keep the pressurerelatively constant.

[0209] Referring now to FIGS. 97-100 another embodiment of the presentinvention may be seen. Similarly to the embodiment seen in FIGS. 94-96,the dressing structure 300 a seen in these views is composed of amultiple layer or laminated material 302 at anchor sections 301 a and303 a, and a multiple layer or laminated material 302 a at its centersection 325. However, as seen particularly in FIG. 99, anchor section301 a includes a plurality of loop members 506. Anchor section 303 apreferably includes at least one laterally extending portion 510 havinghook members 508 arranged to be fastened to the loop members 506 onanchor section 301 a. This arrangement allows the dressing structure 300a to be easily affixed to a limb 12, as seen in FIG. 100, and allows auser to inspect or clean the wound without removing the adhesive layerfrom the skin surface. As may be seen particularly in FIG. 99, thelaminated material 302 at anchor section 301 a includes a top surface orlayer 315 made of TYVEC brand material, spun silk, or similar material.The top surface 315 includes a plurality of loop members 506, asmentioned. The bottom surface or layer 319 is comprised of ahypo-allergenic adhesive layer 327, covered with a silicone releaseliner 30. The laminated material 302 at anchor section 303 a includes atop surface layer similar to that of anchor structure 301 a, butincluding a laterally extending portion 510 having hook members 508arranged to bus fastened to the loop members 506 on anchor structure 301a. The laterally extending portion may be attached to top surface 315 byconventional means such as stitching, adhesive, or by way ofcorresponding loop members on anchor structure 301 a, as shown. Further,the laminated material 302 at anchor section 303 a preferably includes abottom surfaces 319 of a TYVC brand material, spun silk, or any othersuitable material, attached by way of an adhesive layer 327, rather thanthe adhesive layer covered with a release liner as shown at anchorsection 301 a. The laminated material at anchor structures 301 a and 303a preferably includes a channel 313 into which margins of elastic member321 are engaged as discussed in connection to the embodiment of FIGS.94-96.

[0210] Similarly to the embodiment of FIGS. 94-96, the deviceillustrated in FIGS. 97-100 may further include a barrier layer 500. Thebarrier layer 500 preferably overlays a portion of the proximal end 504of the adhesive layer 327 at anchor section 301 a.

[0211] Illustrated in FIGS. 101-104 is another alternative embodimentdressing structure 300 b may be seen. As in the embodiment shown inFIGS. 97-100, the device of FIGS. 101-104 is provided with a pluralityof loop members 506 and hook members 508. However, as seen the laminatedmaterial 302 at anchor sections 301 a, 303 a is provided with a bottomsurface 319 of TYVC brand material, spun silk, or any other suitablematerial, rather than an adhesive layer as previously illustrated. Thisarrangement allows the dressing structure 300 b to be secured to anepidermis (not shown) without the use of adhesive which, over prolongeduse, may become an irritant to sensitive application sites.

[0212] Referring now to FIGS. 103 and 104 another alternative embodimentof the dressing structure 300 a may be seen. As illustrated, the devicepreviously disclosed with reference to FIG. 35 is illustrated butincluding a non-adhesive barrier layer 500 coextensive with andoverlaying a portion of the adhesive layer 327. The device furtherincludes a pad member 314 a composed of a hydrophilic material. Whilenot illustrated as such, it is to be understood that the device may befabricated with a barrier layer 500 while including a pad member 314 ofany conventional material, such as gauze.

[0213] Illustrated in FIGS. 105 and 106 is another alternativeembodiment, seen as the device previously disclosed with regard to FIG.53. In this embodiment, the dressing 300 a is composed of a piece ofelastic member 321, such as latex, having two ends to which anchors 310a and 303 b are respectively attached. The ends of the elastic member321 are simply sandwiched between the top surface member 315 and thebottom surface layer 319. A stabilizing section member 323 is adheredacross the center section 325 of the elastic member 321, and a padmember 314 a is adhered to the underside of the elastic member 321. Asillustrated, the device may be further provided with a barrier layer 500as discussed with regard to previous embodiments. The barrier layer ispreferably located between adhesive layer 327 and elastic member 321 ata proximal end portion 504 of adhesive layer 327. The pad member 314 amay be fabricated of a hydrophilic material as shown or any othersuitable material.

[0214] Seen in FIGS. 107 and 108 is another embodiment of the dressingmechanism 300 a, but similar to the embodiment disclosed in FIGS. 55-60.In this embodiment the entire elastic member 321 is essentiallycomprised of tensioning section 412 having openings 312. The variouscomponents function as previously described, however the device includesthe feature of a non-adhesive barrier layer 500. As described withregard to FIGS. 95-106, the barrier layer 500 is preferably locatedbetween adhesive layer 327 and elastic member 321 at the proximal endportion 504 of adhesive layer 327.

[0215] FIGS. 109-113 illustrate an alternative embodiment includingmultiple pad members 314 a and the use of a barrier layer 500 betweenthe adhesive layer 327 and elastic member 321 as described previously.

[0216] The foregoing is considered as illustrative only of theprinciples of the invention. Furthermore, since numerous modificationsand changes will readily occur to those skilled in the art, it is notdesired to limit the invention to the exact construction and operationshown and described. While the preferred embodiment has been described,the details may be changed without departing from the invention, whichis defined by the claims.

What is claimed is:
 1. An epidermal lifting mechanism for use andapplication to a nose of human being, the epidermal lifting mechanismproviding a lifting force over a predetermined area comprising theepidermal area located to either side of a bridge of a person's nose,the epidermal lifting mechanism comprising: at least one strip offlexible material having a first side and a second side, the stripfurther including a first end portion and a second end portion and amiddle portion; the first side of the strip material including anadhesive material; the first end portion and the second end portion eachbeing capable of being positioned to cover a predetermined portion ofthe epidermis located adjacent each side of the bridge of the nose; thestrip of material including a plurality of resilient spring structuresextending therethrough; the middle portion including a first edge and asecond, oppositely disposed, edge; the first edge and the second edge ofthe middle portion including a flap mechanism integral thereto; wherebythe flap mechanism is capable of being folded over the first side of thestrip material to cover the middle portion of the first side of thestrip material.
 2. The epidermal lifting mechanism of claim 1 whereinthe adhesive material is a hydrocolloid non-irritating adhesive.
 3. Theepidermal lifting mechanism of claim 1 wherein the epidermal liftingmechanism of claim 1 is adapted for use in combination with the bridgeof said nose; the bridge of said nose providing a fulcrum point.
 4. Theepidermal lifting mechanism of claim 1 wherein the first end and thesecond end have a plurality of slits extending through at least thefirst side of the strip material.
 5. The epidermal lifting mechanism ofclaim 4 wherein the slits have a U shape.
 6. The epidermal liftingmechanism of claim 1 wherein the plurality of resilient springstructures comprise a stack spring mechanism composed of at least twoleaf spring structures stacked one on top of the other.
 7. The epidermallifting mechanism of claim 1 wherein the flap structures are folded overthe first side and a fulcrum point is produced.
 8. The epidermal liftingmechanism of claim 1 wherein at least one of the first and second endportions of the strip have a predetermined shape.
 9. The epidermallifting mechanism of claim 8 wherein the shape of at least one of thefirst and second end portions is substantially triangular.
 10. Anepidermal lifting mechanism for use with an application to apredetermined epidermal surface, the epidermal lifting mechanismcomprising: a strip of material having a first end portion of apredetermined shape, a second end portion of a predetermined shape, andmiddle portion coupling the first end portion to the second end portion;the first end portion and the second end portion each having a sideincluding an adhesive material; at least one side of the first endportion and the second end portion further including a plurality of slitstructures extending therethrough; the side including a perimeter edgestructure; the slit structures being located substantially within apredetermined portion of the perimeter edge structure.
 11. A method forimproving air flow into and out of a human body through the nasalpassages of a human nose using an epidermal lifting mechanism forproviding a lifting force over a predetermined area of the epidermislocated to either side of the bridge of the nose, the epidermal liftingsystem comprising: at least one strip of flexible material having afirst side and second side the strip further including a first endportion and a second end portion and a middle portion; the first side ofthe strip material including an adhesive material; the first end andsecond end being positioned to cover a predetermined portion of theepidermis located to each side of the bridge of the nose, the strip ofmaterial including a plurality of resilient spring structures extendingtherethrough; the middle portion including a first edge and second edge;the first edge and the second edge of the middle portion including aflap mechanism integral thereto; whereby the flap mechanism is capableof being folded over the first side of the strip material to cover themiddle portion of the first side of the strip material; the methodcomprising folding the flap mechanism over the middle portion of thestrip material; positioning the first and second end portions of theepidermis of the nose.
 12. A method for improving air flow into and outof a human body through the nasal passages of a human nose using anepidermal lifting mechanism for providing a lifting force over apredetermined area of the epidermis located to either side of the bridgeof the nose, the epidermal lifting system including a strip of materialhaving a first end portion of a predetermined shape, a second endportion of a predetermined shape, and a middle portion coupling thefirst end portion to the second end portion; the first end portion andthe second end portion each having a side including an adhesivematerial; the side further including a plurality of slit structuresextending there through; the side including a perimeter edge structure;the slit structures being located substantially within a predeterminedportion of this outer perimeter; the method comprising positioning thefirst and second end portions on either side of the nose; and applyingthe side including adhesive material to the epidermal surface of thenose.
 13. An epidermal positioning mechanism for positioning theepidermis, the epidermal positioning mechanism comprising: an elasticmaterial coupled to a first end piece and a second piece; the first endpiece and the second piece each having at least one side including anadhesive material.
 14. The epidermal positioning mechanism of claim 13wherein at least one end piece has a first side and a second side; theadhesive material being located on the first side; the first sidefurther including a plurality of slits having a predetermined shape. 15.The epidermal positioning system of claim 14 wherein the predeterminedshape of the slits is a U-shape.
 16. The epidermal positioning system ofclaim 13 wherein at least one the end piece is an anchoring mechanism.17. The epidermal positioning system of claim 13 wherein the second endpiece is a lifting end piece.
 18. The epidermal positioning system ofclaim 13 wherein the elastic material includes at least one side havinga medicinal material thereon.
 19. An epidermal positioning mechanismcomprising; a bandage structure having at least a first end and a secondend; a first elastic material coupled to the first end and a secondelastic material coupled to the second end of the bandage structure; afirst anchoring structure coupled to at least a portion of the firstelastic material; and a second anchoring structure coupled to at least aportion of the second elastic material.
 20. The epidermal positioningmechanism of claim 19 wherein the first anchoring structure and thesecond anchoring structure each comprises an end piece coupled to therespective first and second elastic material at respective predeterminedpositions; the end pieces including an adhesive material locatedthereon.
 21. The epidermal positioning mechanism of claim 19 wherein thebandage structure includes at least one side having a medicinal materialthereon.
 22. The medicinal material of claim 21 comprising zincchromate.
 23. The medicinal material of claim 21 comprising zincchromate impregnated in a hydrocolloid material.
 24. The medicinalmaterial of claim 21 comprising an alginate.
 25. The alginate of claim24 comprising one of the group consisting of calcium alginate and sodiumalginate.
 26. A dressing mechanism comprising: a first section, a secondsection, and a third section; the first section being coupled to thesecond section and the second section being coupled to the thirdsection; the second section comprising an elastic material; the firstsection and the third section each having a first side; and apredetermined portion of the first side including an adhesive locatedthereon.
 27. The dressing mechanism of claim 26 wherein the secondsection includes a plurality of openings.
 28. The dressing mechanism ofclaim 27 wherein the openings are of a predetermined size.
 29. Thedressing mechanism of claim 27 wherein the openings are of apredetermined shape.
 30. The dressing mechanism of claim 29 wherein theopenings of predetermined shape are spatially organized in apredetermined manner respective to each other.
 31. The dressingmechanism of claim 26 wherein the second section includes a first marginand a second margin; the first section being integral to the secondsection at the first margin; and the third section being integral to thesecond section at the second margin.
 32. The dressing mechanism of claim26 wherein the first section and the third section are laminatedmaterials comprising a first layer, a second intermediate layer, and athird layer; the third layer including the first side.
 33. The dressingmechanism of claim 32 wherein the second section includes a first marginand a second margin; the first section includes a first channel locatedbetween the first layer and the third layer of the first section forreceiving the first margin; and the second section includes a secondchannel located between the first layer and the third layer of thesecond section for receiving the second margin; the second intermediatelayer comprising an adhesive material; the first margin and the secondmargin respectively including at least one opening; the first marginengaging the second intermediate layer in the first channel and theadhesive material extending through the opening of the first margin; andthe second margin engaging the second intermediate layer in the secondchannel and the adhesive material extending through the opening of thesecond margin.
 34. The dressing mechanism of claim 33 wherein the firstand third layer of the first section and the first and third layer ofthe third section comprise an inelastic material.
 35. The dressingmechanism of claim 34 wherein the inelastic material is a polyester. 36.A dressing mechanism comprising: a first section, a second section, anda third section; the first section being coupled to the second sectionand the second section being coupled to the third section; the firstsection and the third section comprising an elastic material; the firstsection and the third section each having a first side; and apredetermined portion of the first side including an adhesive locatedthereon.
 37. The dressing mechanism of claim 36 wherein the secondsection includes at least one opening.
 38. The dressing mechanism ofclaim 37 wherein the opening is of a predetermined size.
 39. Thedressing mechanism of claim 36 wherein the first section and the thirdsection each include at least one opening comprising a predeterminedshape.
 40. The dressing mechanism of claim 39 wherein the openings ofpredetermined shape are spatially organized in a predetermined mannerrespective to each other.
 41. The dressing mechanism of claim 36 whereinthe second section includes at least one margin; the first section beingintegral to the second section at the margin; and the third sectionbeing integral to the second section at the margin.
 42. The dressingmechanism of claim 36 wherein the second section is a laminated materialcomprising at least a first layer, a second intermediate layer, and athird layer; the third layer including the first side.
 43. The dressingmechanism of claim 42 wherein the first section and the third sectioninclude a first section margin and a third section margin; the secondsection including at least one channel located between the first layerand the third layer of the second section for receiving the margins; thesecond intermediate layer comprising an adhesive material; the firstsection margin and the second section margin respectively including atleast one opening; the margins engaging the second intermediate layer inthe channel and the adhesive material extending through the openings ofthe margins; and the adhesive material extending through the openings ofthe margins.
 44. The dressing mechanism of claim 43 wherein the firstand third layer of the second section comprises an inelastic material.45. The dressing mechanism of claim 44 wherein the inelastic material isa polyester.
 46. The dressing mechanism of claim 36 wherein the secondsection includes at least one opening.
 47. The dressing mechanism ofclaim 36 wherein the second section includes at least one generallytransparent section.
 48. The dressing mechanism of claim 36 wherein thesecond section includes at least one wound irrigation mechanism.
 49. Thedressing mechanism of claim 36 wherein the second section comprises afirst side and a second side; the second side capable of contacting awound.
 50. The dressing mechanism of claim 49 wherein the second sidecomprises a medicinal material.
 51. The medicinal material of claim 50comprising zinc chromate.
 52. The medicinal material of claim 50comprising zinc chromate impregnated in a hydrocolloid material.
 53. Themedicinal material of claim 50 comprising an alginate.
 54. The alginateof claim 53 comprising one of the group consisting of calcium alginateand sodium alginate.
 55. A dressing comprising: a plurality of anchorstructures, a treatment structure, and an elastic material; said elasticmaterial extending from said anchoring structure to said treatmentstructure; said elastic material including a first coupling section anda second coupling section, said elastic material being coupled to atleast one anchoring structure at said first coupling section and to saidtreatment structure at said second coupling section.
 56. The dressing ofclaim 55 wherein said anchoring structures include a first side havingan adhesive located thereon.
 57. The dressing of claim 55 wherein saidelastic material includes a plurality of openings located atpredetermined positions.
 58. The dressing of claim 57 wherein saidopenings have at least one predetermined shape.
 59. The dressing ofclaim 58 wherein said shape is oriented in a predetermined manner anddirection.
 60. The dressing of claim 55 wherein said anchor structuresinclude a slit structure for receiving said first coupling section ofsaid elastic material.
 61. The dressing of claim 60 wherein said firstcoupling section includes a plurality of openings extending therethrough.
 62. The dressing of claim 61 wherein said slit structureincludes at least one adhesive material and said first coupling sectionincludes a first surface and a second surface; said adhesive materialengaging said first surface, said second surface, and extending throughsaid openings; said adhesive material securing said coupling section tosaid slit structure.
 63. The dressing of claim 55 wherein the treatmentstructure is comprised of a gauze material.
 64. The dressing of claim 55wherein the treatment structure includes a plurality of air vents. 65.The dressing of claim 55 wherein the treatment structure includes atleast one opening.
 66. The dressing of claim 55 wherein the treatmentstructure includes a transparent wall located at a predetermined area.67. The dressing of claim 55 wherein said treatment structure includesat least one input port and one output port.
 68. The dressing of claim55 wherein said treatment structure is impregnated with at least onepredetermined medicine.
 69. A method for using a dressing mechanismcomprising: a first section, a second section, and a third section; thefirst section being coupled to the second section and the second sectionbeing coupled to the third section; the first section and the thirdsection comprising an elastic material; the first section and the thirdsection each having a first side; and a predetermined portion of thefirst side including an adhesive located thereon, said methodcomprising: applying said first section to a first predeterminedlocation on an epidermis; pulling said third section toward a secondpredetermined location on said epidermis; applying said third section tosaid second predetermined location on said epidermis.
 70. The method ofclaim 69 wherein the second section includes at least one opening. 71.The method of claim 70 wherein the opening is of a predetermined size.72. The method of claim 69 wherein the first section and the thirdsection each include at least one opening comprising a predeterminedshape.
 73. The method of claim 72 wherein the openings of predeterminedshape are spatially organized in a predetermined manner respective toeach other.
 74. The method of claim 69 wherein the second sectionincludes at least one margin; the first section being integral to thesecond section at the margin; and the third section being integral tothe second section at the margin.
 75. The method of claim 69 wherein thesecond section is a laminated material comprising at least a firstlayer, a second intermediate layer, and a third layer; the third layerincluding a first side.
 76. The method of claim 75 wherein the firstsection and the third section include a first section margin and asecond section margin; the second section including at least one channellocated between the first layer and the third layer of the secondsection for receiving the margins; the second intermediate layercomprising an adhesive material; the first section margin and the secondsection margin respectively including at least one opening; the marginsengaging the second intermediate layer in the channel and the adhesivematerial extending through the openings of the margins; and the adhesivematerial extending through the openings of the margins.
 77. The methodof claim 76 wherein the first and third layer of the second sectioncomprises an inelastic material.
 78. The method of claim 77 wherein theinelastic material is a polyester.
 79. The method of claim 76 whereinthe second section includes at least one opening.
 80. The method ofclaim 69 wherein the second section includes at least one generallytransparent section.
 81. The method of claim 69 wherein the secondsection includes at least one wound irrigation mechanism.
 82. The methodof claim 69 where the second section comprises a first side and a secondside; the second side capable of contacting a wound.
 83. The method ofclaim 82 wherein the second side comprises a medicinal material.
 84. Themedicinal material of claim 83 comprising zinc chromate.
 85. Themedicinal material of claim 83 comprising zinc chromate impregnated in ahydrocolloid material.
 86. The medicinal material of claim 83 comprisingan alginate.
 87. The alginate of claim 86 comprising one of the groupconsisting of calcium alginate and sodium alginate.
 88. A method forusing a dressing comprising: a plurality of anchor structures, atreatment structure, and an elastic material; said elastic materialextending from said anchoring structure to said treatment structure;said elastic material including a first coupling section and a secondcoupling section, said elastic material being coupled to at least, oneanchoring structure at said first coupling section and to said treatmentstructure at said second coupling section, said method comprising:positioning said treatment section over a first predetermined area of anepidermis; applying at least one anchor structure to a secondpredetermined area of said epidermis; applying at least one other anchorstructure to a third predetermined area of said epidermis.
 89. Themethod of claim 88 wherein the first predetermined area of the epidermisis a wound.
 90. The method of claim 88 wherein the first predeterminedarea of the epidermis is a burn.
 91. The method of claim 88 wherein saidanchoring structures include a first side having an adhesive locatedthereon.
 92. The method of claim 88 wherein said elastic materialincludes a plurality of openings located at predetermined positions. 93.The method of claim 92 wherein said openings have at least onepredetermined shape.
 94. The method of claim 93 wherein said shape isoriented in a predetermined manner and direction.
 95. The method ofclaim 88 wherein said anchor structures include a slit structure forreceiving said first coupling section of said elastic material.
 96. Themethod of claim 95 wherein said first coupling section includes aplurality of openings extending there through.
 97. The method of claim96 wherein said slit structure includes at least one adhesive materialand said first coupling section includes a first surface and a secondsurface; said adhesive material engaging said first surface, said secondsurface, and extending through said openings; said adhesive materialsecuring said coupling section to said slit structure.
 98. The method ofclaim 88 wherein the treatment structure is comprised of a gauzematerial.
 99. The method of claim 88 wherein the treatment structureincludes a plurality of air vents.
 100. The method of claim 88 whereinthe treatment structure includes at least one opening.
 101. The methodof claim 88 wherein the treatment structure includes a transparent walllocated at a predetermined area.
 102. The method of claim 88 whereinsaid treatment structure includes at least one input port and one outputport.
 103. The method of claim 88 wherein said treatment structure isimpregnated with at least one predetermined medicine.
 104. The epidermalpositioning mechanism of claim 13 wherein said adhesive materialcomprises an adhesive layer.
 105. The epidermal positioning mechanism ofclaim 104 wherein at least a portion of said adhesive layer includes acoextensive, overlaying layer.
 106. The epidermal positioning mechanismof claim 105 wherein said overlaying layer comprises a non-adhesivematerial.
 107. An epidermal positioning mechanism for positioning theepidermis, the epidermal positioning mechanism comprising: an elasticmaterial coupled to a first end piece and a second end piece; the firstend piece having a first side including an adhesive material, and asecond side having a plurality of hook members arranged to be fastenedto loop members of a hook and loop fastener.
 108. The epidermalpositioning mechanism of claim 107 wherein said second end pieceincludes at least one side having a laterally extending portion, saidlaterally extending portion including at least one side having aplurality of loop members arranged to be fastened to the hook members onsaid first end piece.
 109. The epidermal positioning mechanism of claim108 wherein said adhesive material comprises an adhesive layer, andwherein at least a portion of said adhesive layer includes acoextensive, overlaying layer.
 110. An epidermal positioning mechanismfor positioning the epidermis, the epidermal positioning mechanismcomprising: an elastic material coupled to a first end piece and asecond end piece; the first end piece having a first side including aplurality of hook members arranged to be fastened to loop members of ahook and loop fastener.
 111. The epidermal positioning mechanism ofclaim 110 wherein said second end piece includes at least one sidehaving a laterally extending portion, said laterally extending portionincluding at least one side having a plurality of loop members arrangedto be fastened to the hook members on said first end piece.
 112. Anepidermal positioning mechanism comprising; a bandage structure havingat least a first end and a second end; a first elastic material coupledto the first end and a second elastic material coupled to the second endof the bandage structure; a first anchoring structure having a distalend and a proximal end, said proximal end coupled to at least a portionof the first elastic material; a second anchoring structure having adistal end and a proximal end, said proximal end coupled to at least aportion of the second elastic material; said first anchoring structureand said second anchoring structure each having a first side and asecond side; at least one adhesive layer, said at least one adhesivelayer having a first adhesive side and a second adhesive side; saidfirst adhesive side being coupled to at least one of said firstanchoring structure and said second anchoring structure; said at leastone adhesive layer including a distal end and a proximal end; a barrierlayer, said barrier layer overlaying at least a portion of said firstadhesive side, said at least a portion of said first adhesive sidelocated proximate said proximal end of said at least one adhesive layer.113. The epidermal positioning mechanism of claim 112 wherein saidbandage is composed of a hydrophilic material.
 114. The epidermalpositioning mechanism of claim 19 wherein said bandage is composed of ahydrophilic material.
 115. The epidermal positioning mechanism of claim112 wherein said first side of said first anchoring structure includes aplurality of hook members arranged to be fastened to loop members of ahook and loop fastener.
 116. The epidermal positioning mechanism ofclaim 115 wherein said second anchoring structure includes at least oneside having a laterally extending portion, said laterally extendingportion including at least one side having a plurality of loop membersarranged to be fastened to the hook members on said first anchoringstructure.
 117. The epidermal positioning mechanism of claim 116 whereinsaid bandage is composed of a hydrophilic material.
 118. An epidermalpositioning mechanism comprising; a bandage structure having at least afirst end and a second end; a first elastic material coupled to thefirst end and a second elastic material coupled to the second end of thebandage structure; a first anchoring structure having a distal end and aproximal end, said proximal end coupled to at least a portion of thefirst elastic material; and a second anchoring structure having a distalend and a proximal end, said proximal end coupled to at least a portionof the second elastic material; said first anchoring structure and saidsecond anchoring structure each having a first side and a second side;said first side of said first anchoring structure including a pluralityof hook members arranged to be fastened to loop members of a hook andloop fastener.
 119. The epidermal positioning mechanism of claim 118wherein said second anchoring structure includes at least one sidehaving a laterally extending portion, said laterally extending portionincluding at least one side having a plurality of loop members arrangedto be fastened to the hook members on said first anchoring structure.120. The epidermal positioning structure of claim 118 wherein saidbandage structure is composed of a hydrophilic material.
 121. Theepidermal positioning structure of claim 19 wherein said first anchoringstructure and said second anchoring structure each include a first sideand a second side, said first side of said first anchoring structureincluding a plurality of hook members arranged to be fastened to loopmembers of a hook and loop fastener.
 122. The epidermal positioningstructure of claim 121 wherein said bandage structure is composed of ahydrophilic material.
 123. A dressing mechanism comprising: a firstsection, a second section, and a third section; the first and thirdsections each including a proximal end and a distal end; the proximalend of the first section being coupled to the second section and thesecond section being coupled to the proximal end of the third section;the second section comprising an elastic material; the first section andthe third section each having a first side and a second side; at leastone adhesive layer, said at least one adhesive layer having a firstadhesive side and a second adhesive side; said first adhesive side beingcoupled to said second side of at least one of said first section andsaid second section; said at least one adhesive layer including a distalend and a proximal end; a barrier layer, said barrier layer overlayingat least a portion of said first adhesive side, said at least a portionof said first adhesive side located proximate said proximal end of saidat least one adhesive layer.
 124. The dressing mechanism of claim 123wherein said second section includes a layer composed of a hydrophilicmaterial.
 125. The dressing mechanism of claim 26 wherein said secondsection includes a layer composed of a hydrophilic material.
 126. Thedressing mechanism of claim 123 wherein said second side of said firstsection includes a plurality of hook members arranged to be fastened toloop members of a hook and loop fastener.
 127. The dressing mechanism ofclaim 126 wherein said third section includes at least one side having alaterally extending portion, said laterally extending portion includingat least one side having a plurality of loop members arranged to befastened to the hook members on said first section.
 128. The dressingmechanism of claim 127 wherein said second section includes a layercomposed of a hydrophilic material.
 129. A dressing mechanismcomprising: a first section, a second section, and a third section; thefirst and third sections each including a proximal end and a distal end;the proximal end of the first section being coupled to the secondsection and the second section being coupled to the proximal end of thethird section; the second section comprising an elastic material; thefirst section and the third section each having a first side and asecond side; the second side of said first section including a pluralityof hook members arranged to be fastened to loop members of a hook andloop fastener.
 130. The dressing mechanism of claim 129 wherein saidthird section includes at least one side having a laterally extendingportion, said laterally extending portion including at least one sidehaving a plurality of loop members arranged to be fastened to the hookmembers on said first section.
 131. The dressing mechanism of claim 129wherein said second section includes a layer composed of a hydrophilicmaterial.
 132. The dressing mechanism of claim 26 wherein said firstsection and said third section each have a second side, said second sideof said first section including a plurality of hook members arranged tobe fastened to loop members of a hook and loop fastener.
 133. Thedressing mechanism of claim 132 wherein said second section includes alayer composed of a hydrophilic material.
 134. A dressing mechanismcomprising: a first section, a second section, and a third section; thefirst section being coupled to the second section and the second sectionbeing coupled to the third section; the first section and the thirdsection comprising an elastic material; the first section having a firstside including an adhesive layer, and a second side having a pluralityof hook members arranged to be fastened to loop members of a hook andloop fastener.
 135. The dressing mechanism of claim 134 wherein saidthird section includes at least one side having a laterally extendingportion, said laterally extending portion including at least one sidehaving a plurality of loop members arranged to be fastened to the hookmembers on said first section.
 136. The dressing mechanism of claim 134wherein said second section is composed of a hydrophilic material. 137.The dressing mechanism of claim 36 wherein said second section iscomposed of a hydrophilic material.
 138. A dressing mechanismcomprising: a first section, second section, and a third section; thefirst section being coupled to the second section and the second sectionbeing coupled to the third section; the first section and the thirdsection comprising an elastic material; the first section and the thirdsection each having a first side and a second side; at least oneadhesive layer, said at least one adhesive layer having a first adhesiveside and a second adhesive side; said first adhesive side being coupledto said first side of at least one of said first section and said thirdsection; said at least one adhesive layer including a distal end and aproximal end; a barrier layer, said barrier layer overlaying at least aportion of said first adhesive side, said at least a portion of saidfirst adhesive side located proximate said proximal end of said at leastone adhesive layer.
 139. The dressing mechanism of claim 138 whereinsaid second section is composed of a hydrophilic material.
 140. Thedressing mechanism of claim 138 wherein said second side of said firstsection includes a plurality of hook members arranged to be fastened toloop members of a hook and loop fastener.
 141. The dressing mechanism ofclaim 140 wherein said third section includes at least one side having alaterally extending portion, said laterally extending portion includingat least one side having a plurality of loop members arranged to befastened to the hook members on said first section.
 142. The dressingmechanism of claim 141 wherein said second section is composed of ahydrophilic material.
 143. A dressing mechanism comprising: a firstsection, second section, and a third section; the first section beingcoupled to the second section and the second section being coupled tothe third section; the first section and the third section comprising anelastic material; the first section and the third section each having afirst side and a second side; the second side of said first sectionincluding a plurality of hook members arranged to be fastened to loopmembers of a hook and loop fastener.
 144. The dressing mechanism ofclaim 143 wherein said third section includes at least one side having alaterally extending portion, said laterally extending portion includingat least one side having a plurality of loop members arranged to befastened to the hook members on said first section.
 145. The dressingmechanism of claim 143 wherein said second section is composed of ahydrophilic material.
 146. A dressing comprising: a plurality of anchorstructures, a treatment structure, and an elastic material; at least oneof said plurality of anchor structures having a first side and a secondside; said elastic material extending from said at least one anchorstructure to said treatment structure; said elastic material including afirst coupling section and a second coupling section, said elasticmaterial being coupled to said at least one anchoring structure at saidfirst coupling section and to said treatment structure at said secondcoupling section; at least one adhesive layer, said at least oneadhesive layer having a first adhesive side and a second adhesive side;said first adhesive side being coupled to said first side of at leastone of said plurality of anchor structures; said at least one adhesivelayer including a distal end and a proximal end; a barrier layer, saidbarrier layer overlaying at least a portion of said first adhesive side;said at least a portion of said first adhesive side located proximatesaid proximal end of said at least one adhesive layer.
 147. The dressingof claim 55 wherein said treatment structure comprises a hydrophilicmaterial.
 148. The dressing of claim 146 wherein said treatmentstructure is comprised of a hydrophilic material.
 149. The dressing ofclaim 126 wherein said second side of said at least one of saidplurality of anchor structures includes a plurality of hook membersarranged to be fastened to loop members of a hook and loop fastener.150. The dressing of claim 149 further including a second of saidplurality of anchor structures, said second of said plurality of anchorstructures including at least one side having a laterally extendingportion, said laterally extending portion including at least one sidehaving a plurality of loop members arranged to be fastened to the hookmembers on said at least one anchor structure.
 151. The dressing ofclaim 149 wherein said treatment structure is comprised of a hydrophilicmaterial.
 152. The dressing of claim 55 wherein at least one of saidplurality of anchor structures includes a first side and a second side,said second side including a plurality of hook members arranged to befastened to loop members of a hook and loop fastener.
 153. The dressingof claim 152 wherein a second one of said plurality of anchor structuresincludes at least one side having a laterally extending portion, saidlaterally extending portion including at least one side having aplurality of loop members arranged to be fastened to the hook members onsaid at least one of said plurality of anchor structures.
 154. Thedressing of claim 152 wherein said treatment structure is comprised of ahydrophilic material.
 155. A dressing comprising: a plurality of anchorstructures, a treatment structure, and an elastic material; at least oneof said plurality of anchor structures having a first side and a secondside; said elastic material extending from said at least one anchorstructure to said treatment structure; said elastic material including afirst coupling section and a second coupling section, said elasticmaterial being coupled to said at least one anchoring structure at saidfirst coupling section and to said treatment structure at said secondcoupling section; at least one adhesive layer, said at least oneadhesive layer having a first adhesive side and a second adhesive side;said first adhesive side being coupled to said first side of at leastone of said plurality of anchor structures; said second side of said atleast one of said plurality of anchor structures including a pluralityof hook members arranged to be fastened to loop members of a hook andloop fastener.
 156. The dressing of claim 155 wherein said treatmentstructure is comprised of a hydrophilic material.
 157. The method ofclaim 69 wherein said second section is comprised of a hydrophilicmaterial.
 158. An epidermal positioning mechanism comprising: a strip ofmaterial having a first end portion, a second end portion, and a centerportion coupling the first end portion to the second end portion; thefirst end portion, the second end portion and the center portion eachhaving a first side and a second side; at least one adhesive layer; saidat least one adhesive layer including a first adhesive side and a secondadhesive side, and a distal end and a proximal end; said first adhesiveside being coupled to said second side of at least one of said first endportion and said second end portion; a barrier layer, said barrier layeroverlaying at least a portion of said first adhesive side, said at leasta portion of said first adhesive side located proximate said proximalend of said at least one adhesive layer; a plurality of pad members,said plurality of pad members being coupled to said second side of saidcenter portion.
 159. The epidermal positioning mechanism of claim 158wherein said plurality of pad members are comprised of a hydrophilicmaterial.